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Time trends in coronary revascularization procedures among people with COPD: analysis of the Spanish national hospital discharge data (2001–2011)
BACKGROUND: People with COPD suffering from coronary artery disease are frequently treated with revascularization procedures. We aim to compare trends in the use and outcomes of these procedures in COPD and non-COPD patients in Spain between 2001 and 2011. METHODS: We identified all patients who had...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4622492/ https://www.ncbi.nlm.nih.gov/pubmed/26543361 http://dx.doi.org/10.2147/COPD.S92614 |
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author | de Miguel-Díez, Javier Jiménez-García, Rodrigo Hernández-Barrera, Valentín Carrasco-Garrido, Pilar Bueno, Héctor Puente-Maestu, Luis Jimenez-Trujillo, Isabel Alvaro-Meca, Alejandro Esteban-Hernandez, Jesús de Andrés, Ana López |
author_facet | de Miguel-Díez, Javier Jiménez-García, Rodrigo Hernández-Barrera, Valentín Carrasco-Garrido, Pilar Bueno, Héctor Puente-Maestu, Luis Jimenez-Trujillo, Isabel Alvaro-Meca, Alejandro Esteban-Hernandez, Jesús de Andrés, Ana López |
author_sort | de Miguel-Díez, Javier |
collection | PubMed |
description | BACKGROUND: People with COPD suffering from coronary artery disease are frequently treated with revascularization procedures. We aim to compare trends in the use and outcomes of these procedures in COPD and non-COPD patients in Spain between 2001 and 2011. METHODS: We identified all patients who had undergone percutaneous coronary interventions (PCIs) and coronary artery bypass graft (CABG) surgeries, using national hospital discharge data. Discharges were grouped into: COPD and no COPD. RESULTS: From 2001 to 2011, 428,516 PCIs and 79,619 CABGs were performed. The sex and age-adjusted use of PCI increased by 21.27% per year from 2001 to 2004 and by 5.47% per year from 2004 to 2011 in patients with COPD. In-hospital mortality (IHM) among patients with COPD who underwent a PCI increased significantly from 2001 to 2011 (odds ratio 1.11; 95% confidence interval 1.03–1.20). Among patients with COPD who underwent a CABG, the sex and age-adjusted CABG incidence rate increased by 9.77% per year from 2001 to 2003, and then decreased by 3.15% through 2011. The probability of dying during hospitalization in patients who underwent a CABG did not change significantly in patients with and without COPD (odds ratio, 1.06; 95% confidence interval 0.96–1.17). CONCLUSION: The annual percent change in PCI procedures increased in COPD and non-COPD patients. We found a decrease in the use of CABG procedures in both groups. IHM was higher in patients with COPD who underwent a PCI than in those without COPD. However, COPD did not increase the probability of dying during hospitalization in patients who underwent a CABG. |
format | Online Article Text |
id | pubmed-4622492 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-46224922015-11-05 Time trends in coronary revascularization procedures among people with COPD: analysis of the Spanish national hospital discharge data (2001–2011) de Miguel-Díez, Javier Jiménez-García, Rodrigo Hernández-Barrera, Valentín Carrasco-Garrido, Pilar Bueno, Héctor Puente-Maestu, Luis Jimenez-Trujillo, Isabel Alvaro-Meca, Alejandro Esteban-Hernandez, Jesús de Andrés, Ana López Int J Chron Obstruct Pulmon Dis Original Research BACKGROUND: People with COPD suffering from coronary artery disease are frequently treated with revascularization procedures. We aim to compare trends in the use and outcomes of these procedures in COPD and non-COPD patients in Spain between 2001 and 2011. METHODS: We identified all patients who had undergone percutaneous coronary interventions (PCIs) and coronary artery bypass graft (CABG) surgeries, using national hospital discharge data. Discharges were grouped into: COPD and no COPD. RESULTS: From 2001 to 2011, 428,516 PCIs and 79,619 CABGs were performed. The sex and age-adjusted use of PCI increased by 21.27% per year from 2001 to 2004 and by 5.47% per year from 2004 to 2011 in patients with COPD. In-hospital mortality (IHM) among patients with COPD who underwent a PCI increased significantly from 2001 to 2011 (odds ratio 1.11; 95% confidence interval 1.03–1.20). Among patients with COPD who underwent a CABG, the sex and age-adjusted CABG incidence rate increased by 9.77% per year from 2001 to 2003, and then decreased by 3.15% through 2011. The probability of dying during hospitalization in patients who underwent a CABG did not change significantly in patients with and without COPD (odds ratio, 1.06; 95% confidence interval 0.96–1.17). CONCLUSION: The annual percent change in PCI procedures increased in COPD and non-COPD patients. We found a decrease in the use of CABG procedures in both groups. IHM was higher in patients with COPD who underwent a PCI than in those without COPD. However, COPD did not increase the probability of dying during hospitalization in patients who underwent a CABG. Dove Medical Press 2015-10-22 /pmc/articles/PMC4622492/ /pubmed/26543361 http://dx.doi.org/10.2147/COPD.S92614 Text en © 2015 de Miguel-Díez et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research de Miguel-Díez, Javier Jiménez-García, Rodrigo Hernández-Barrera, Valentín Carrasco-Garrido, Pilar Bueno, Héctor Puente-Maestu, Luis Jimenez-Trujillo, Isabel Alvaro-Meca, Alejandro Esteban-Hernandez, Jesús de Andrés, Ana López Time trends in coronary revascularization procedures among people with COPD: analysis of the Spanish national hospital discharge data (2001–2011) |
title | Time trends in coronary revascularization procedures among people with COPD: analysis of the Spanish national hospital discharge data (2001–2011) |
title_full | Time trends in coronary revascularization procedures among people with COPD: analysis of the Spanish national hospital discharge data (2001–2011) |
title_fullStr | Time trends in coronary revascularization procedures among people with COPD: analysis of the Spanish national hospital discharge data (2001–2011) |
title_full_unstemmed | Time trends in coronary revascularization procedures among people with COPD: analysis of the Spanish national hospital discharge data (2001–2011) |
title_short | Time trends in coronary revascularization procedures among people with COPD: analysis of the Spanish national hospital discharge data (2001–2011) |
title_sort | time trends in coronary revascularization procedures among people with copd: analysis of the spanish national hospital discharge data (2001–2011) |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4622492/ https://www.ncbi.nlm.nih.gov/pubmed/26543361 http://dx.doi.org/10.2147/COPD.S92614 |
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